Active NPI
Clinton Pharmacy LLC
- Long Term Care Pharmacy
- Clinton, KY
National Provider Identifier
1174087647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- CLINTON PHARMACY LLC
- Practice address
- 119 E Clay St
Clinton, KY 42031-1222 - Phone
- (270) 653-5361
- Fax
- (270) 653-5511
- NPI assigned
- Jan 29, 2019
- Last updated
- Jan 29, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawn Shawn Boaz
- Title
- Pharmd/Owner
- Phone
- (270) 653-5361
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
119 E Clay St
Clinton, KY 42031-1222
Mailing address
119 E Clay St
Clinton, KY 42031-1222
Phone (270) 653-5361
National Provider Directory
National Provider Directory- Tax ID family
- Clinton Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Clinton, KY
- NPI 1780985325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548720000000",
"number": "1174087647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 E CLAY ST",
"city": "CLINTON",
"state": "KY",
"postal_code": "420311222",
"telephone_number": "270-653-5361",
"fax_number": "270-653-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 E CLAY ST",
"city": "CLINTON",
"state": "KY",
"postal_code": "420311222",
"telephone_number": "270-653-5361",
"fax_number": "270-653-5511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINTON PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-29",
"last_updated": "2019-01-29",
"status": "A",
"authorized_official_last_name": "BOAZ",
"authorized_official_first_name": "SHAWN",
"authorized_official_middle_name": "SHAWN",
"authorized_official_title_or_position": "PHARMD/OWNER",
"authorized_official_telephone_number": "270-653-5361"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, KY
- John Garland Byassee, PHARM.D.
- Rick Canty, D.M.D.
- Jessica Brook Charlton, L.P.C.A.
- Clinton and Hickman County Hospital, Inc.
- Clinton Dental Clinic,Inc.
- Clinton Pharmacy LLC (Clinton Pharmacy)
- Clinton-Hickman County Ambulance Service Inc
- Communtiy Healthcare of Western Kentucky LLC
- Diversicare Clinton, LLC (Arbor Place of Clinton)
- Giaimo Mobile Podiatry PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.